<extend name="Public:main" />

<block name="cssjs"></block>

<block name="area">
<li><a href="#">患者详情</a></li>
</block>

<block name="content">
	<div class="formbody">
		<div class="formtitle"><span>患者详情</span></div>
		<form action="__ACTION__" method="post" enctype="multipart/form-data" name="myform">
			<ul class="forminfo">
				<li><label>姓名:</label><input name="name" class="dfinput" type="text" value="{$list.name}"><i></i></li>
				<li><label>病种类别:</label><input name="jname" class="dfinput" type="text" value="{$list.jid|jbname}"><i></i></li>
				<li><label>治疗类别:</label><input name="treatname" class="dfinput" type="text" value="{$list.tid|treatname}"><i></i></li>
				<li><label>专项检查类别:</label><input name="checkname" class="dfinput" type="text" value="{$list.cid|checkname}"><i></i></li>
				<li><label>原图:</label><img src="{$list.pic}" style="width:100px;"><i></i></li>
				<li><label>图片:</label><input type="text" class="dfinput" id="titlepic" name='pic' />
					<input type="button" id="uploadbtn" value="选择图片" style="height:30px;width:80px;cursor:pointer;border-radius:2px;background-color:#DDD;" /><i>限jpg gif jpeg png 格式 200kb以内</i></li>
				<li><label>备注:</label><textarea id="pagecontent" name="remarks" rows="20" cols="100" style="width:65%;height:300px;visibility:hidden;">{$list.remarks}</textarea></li>
			</ul>
		</form>
	</div>
<script type="text/javascript">
$('.imgtable tbody tr:odd').addClass('odd');
</script>
</block>